A series of post-traumatic midline epidural hematoma and review of the literature

Dolaş, İlyas; Ozturk, Onur; ozgen, utku; aydoseli, aydin; CAN, Halil; güçlü, doğan güçlühan; Unal, Tugrul Cem; ÇIRAK, MUSA; Sencer, Altay

doi:10.14744/tjtes.2020.28182

A series of post-traumatic midline epidural hematoma and review of the literature

Dogan Gucluhan GUCLU, (bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi Nöroşirürji Anabilim Dalı, İstanbul, Türkiye)

Onur Ozturk, (çerkezköy Devlet Hastanesi Nöroşirürji Anabilim Dalı, Tekirdağ, Türkiye)

Musa Çırak, (bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi Nöroşirürji Anabilim Dalı, İstanbul, Türkiye)

Halil Can, (Biruni Üniversitesi Tıp Fakültesi Nöroşirürji Anabilim Dalı, İstanbul, Türkiye)

Tuğrul Cem Ünal, (istanbul Üniversitesi İstanbul Tıp Fakültesi Nöroşirürji Anabilim Dalı, İstanbul, Türkiye)

Ilyas DOLAS, (istanbul Üniversitesi İstanbul Tıp Fakültesi Nöroşirürji Anabilim Dalı, İstanbul, Türkiye)

Utku Özgen, (istanbul Üniversitesi İstanbul Tıp Fakültesi Nöroşirürji Anabilim Dalı, İstanbul, Türkiye)

Aydın Aydoseli, (istanbul Üniversitesi İstanbul Tıp Fakültesi Nöroşirürji Anabilim Dalı, İstanbul, Türkiye)

Altay Sencer (istanbul Üniversitesi İstanbul Tıp Fakültesi Nöroşirürji Anabilim Dalı, İstanbul, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2022 Cilt: 28 Sayı: 6 Sayfa Aralığı: 805 - 811 Metin Dili: İngilizce DOI: 10.14744/tjtes.2020.28182 İndeks Tarihi: 08-11-2022

A series of post-traumatic midline epidural hematoma and review of the literature

Öz:

BACKGROUND: Supratentorial midline epidural hematoma is rare but challenging in diagnosis and management. Indication for surgery can arise even following hospital admission. Being familiar to the presentation and watching out for direct and indirect signs on axial computed tomography (CT) such as suture diastasis or fracture traversing midline are essential to plan multi-planar CT enabling exact diagnosis including form and mass effect of hematoma. METHODS: Nine patients with midline epidural hematoma including two pediatric patients underwent surgery between 2013 and 2018. Pre-operative and post-operative patient status, radiological features, and surgical technique were analyzed. RESULTS: Four patients had deteriorating consciousness levels and two patients had paraparesis. All had fractures traversing midline and epidural hematomas with significant mass effect. They were operated through separated craniotomies around the midline and midline bone strip was used for dural tenting and as support for natural closure of bone flaps. No post-operative complications were developed. All patients were discharged with Glasgow Outcome Score of 5. CONCLUSION: Because of the rarity of the lesion and small number of patients, definitive conclusions may be misleading but we think that, in experienced hands, midline epidural hematomas can safely be operated on and, preservation of midline bone strip pro- vides easier bleeding control.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	güçlü d, Ozturk O, ÇIRAK M, CAN H, Unal T, Dolaş İ, ozgen u, aydoseli a, Sencer A (2022). A series of post-traumatic midline epidural hematoma and review of the literature. , 805 - 811. 10.14744/tjtes.2020.28182
Chicago	güçlü doğan güçlühan,Ozturk Onur,ÇIRAK MUSA,CAN Halil,Unal Tugrul Cem,Dolaş İlyas,ozgen utku,aydoseli aydin,Sencer Altay A series of post-traumatic midline epidural hematoma and review of the literature. (2022): 805 - 811. 10.14744/tjtes.2020.28182
MLA	güçlü doğan güçlühan,Ozturk Onur,ÇIRAK MUSA,CAN Halil,Unal Tugrul Cem,Dolaş İlyas,ozgen utku,aydoseli aydin,Sencer Altay A series of post-traumatic midline epidural hematoma and review of the literature. , 2022, ss.805 - 811. 10.14744/tjtes.2020.28182
AMA	güçlü d,Ozturk O,ÇIRAK M,CAN H,Unal T,Dolaş İ,ozgen u,aydoseli a,Sencer A A series of post-traumatic midline epidural hematoma and review of the literature. . 2022; 805 - 811. 10.14744/tjtes.2020.28182
Vancouver	güçlü d,Ozturk O,ÇIRAK M,CAN H,Unal T,Dolaş İ,ozgen u,aydoseli a,Sencer A A series of post-traumatic midline epidural hematoma and review of the literature. . 2022; 805 - 811. 10.14744/tjtes.2020.28182
IEEE	güçlü d,Ozturk O,ÇIRAK M,CAN H,Unal T,Dolaş İ,ozgen u,aydoseli a,Sencer A "A series of post-traumatic midline epidural hematoma and review of the literature." , ss.805 - 811, 2022. 10.14744/tjtes.2020.28182
ISNAD	güçlü, doğan güçlühan vd. "A series of post-traumatic midline epidural hematoma and review of the literature". (2022), 805-811. https://doi.org/10.14744/tjtes.2020.28182

APA	güçlü d, Ozturk O, ÇIRAK M, CAN H, Unal T, Dolaş İ, ozgen u, aydoseli a, Sencer A (2022). A series of post-traumatic midline epidural hematoma and review of the literature. Ulusal Travma ve Acil Cerrahi Dergisi, 28(6), 805 - 811. 10.14744/tjtes.2020.28182
Chicago	güçlü doğan güçlühan,Ozturk Onur,ÇIRAK MUSA,CAN Halil,Unal Tugrul Cem,Dolaş İlyas,ozgen utku,aydoseli aydin,Sencer Altay A series of post-traumatic midline epidural hematoma and review of the literature. Ulusal Travma ve Acil Cerrahi Dergisi 28, no.6 (2022): 805 - 811. 10.14744/tjtes.2020.28182
MLA	güçlü doğan güçlühan,Ozturk Onur,ÇIRAK MUSA,CAN Halil,Unal Tugrul Cem,Dolaş İlyas,ozgen utku,aydoseli aydin,Sencer Altay A series of post-traumatic midline epidural hematoma and review of the literature. Ulusal Travma ve Acil Cerrahi Dergisi, vol.28, no.6, 2022, ss.805 - 811. 10.14744/tjtes.2020.28182
AMA	güçlü d,Ozturk O,ÇIRAK M,CAN H,Unal T,Dolaş İ,ozgen u,aydoseli a,Sencer A A series of post-traumatic midline epidural hematoma and review of the literature. Ulusal Travma ve Acil Cerrahi Dergisi. 2022; 28(6): 805 - 811. 10.14744/tjtes.2020.28182
Vancouver	güçlü d,Ozturk O,ÇIRAK M,CAN H,Unal T,Dolaş İ,ozgen u,aydoseli a,Sencer A A series of post-traumatic midline epidural hematoma and review of the literature. Ulusal Travma ve Acil Cerrahi Dergisi. 2022; 28(6): 805 - 811. 10.14744/tjtes.2020.28182
IEEE	güçlü d,Ozturk O,ÇIRAK M,CAN H,Unal T,Dolaş İ,ozgen u,aydoseli a,Sencer A "A series of post-traumatic midline epidural hematoma and review of the literature." Ulusal Travma ve Acil Cerrahi Dergisi, 28, ss.805 - 811, 2022. 10.14744/tjtes.2020.28182
ISNAD	güçlü, doğan güçlühan vd. "A series of post-traumatic midline epidural hematoma and review of the literature". Ulusal Travma ve Acil Cerrahi Dergisi 28/6 (2022), 805-811. https://doi.org/10.14744/tjtes.2020.28182